CITY OF BUFFALO DIVISION OF SUBSTANCE ABUSE (NPI# 1861604613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861604613 |
| Entity Type | Organization |
| Organization Name | CITY OF BUFFALO DIVISION OF SUBSTANCE ABUSE |
| Practice Address |
191 North St Suite 110 Buffalo NY 14201-1510 |
| Practice Telephone | 7168862137 |
| Mailing Telephone | 7168862137 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JILL WHITE (REIMBURSEMENT SPECIALIST) |
| Authorized Official Telephone | 7168862137 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00752823 | 05 |
| Street Address |
191 NORTH ST SUITE 110 |
| City | BUFFALO |
| State | NY |
| Zip Code | 14201-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740278316 | James Julius Paul | Internal Medicine | 191 North St, Suite 101, Buffalo, NY 14201-1510 | 2005-10-07 |
| 1710309836 | Marina A Maulucci | Durable Medical Equipment & Medical Supplies | 191 North St, Suite #2, Buffalo, NY 14201-1510 | 2014-01-08 |
| 1225349939 | Valerie Cotto | Physical Therapist | 191 North St, Suite 212, Buffalo, NY 14201-1510 | 2010-06-28 |
| 1346564739 | Ella Perry Medical PC | Clinic/Center | 191 North St, Suite 7, Buffalo, NY 14201-1510 | 2010-03-15 |
| 1417183773 | Zenith Medical, PC | Specialist | 191 North St, Suite 212, Buffalo, NY 14201-1510 | 2009-06-01 |
| 1972737740 | Zenith Medical, P.C. | Specialist | 191 North St, Suite 212, Buffalo, NY 14201-1510 | 2009-05-08 |
| 1730333881 | Scott M Evans | Physical Therapist | 191 North St, Suite 212, Buffalo, NY 14201-1510 | 2008-11-14 |
| 1447433735 | Zenith Medical, P.C. | Clinic/Center | 191 North St, Suite 212, Buffalo, NY 14201-1510 | 2007-12-10 |
| 1154522217 | Gregory Alan Farber | Dentist | 191 North St, Suite 107, Buffalo, NY 14201-1510 | 2007-05-29 |
| 1164578035 | Renovatio Physical Therapy, P.C. | Physical Therapist | 191 North St, Suite 206, Buffalo, NY 14201-1510 | 2007-01-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619592201 | Linda Berkoh-asamoah | Nurse Practitioner | Evergreen Health Services, 206 S. Elmwood Avenue, Buffalo, NY 14201 | 2020-06-10 |
| 1790223303 | Walaa Kadhum | Social Worker | 340 Niagara Street, Buffalo, NY 14201 | 2017-02-02 |
| 1285171025 | Santina Grace Phillips | Counselor | 10 Symphony Circle, Buffalo, NY 14201 | 2017-01-31 |
| 1073976759 | Jana Riesterer | Social Worker | 254 Virginia Street, Buffalo, NY 14201 | 2016-03-31 |
| 1710309414 | Chs N.y. Medical P.C. | General Practice | 10 Sheridan Rd, Buffalo, NY 14201 | 2014-01-15 |
| 1467722314 | Kristin Nicole Halter | Counselor | 591 Niagara Street, Buffalo, NY 14201 | 2012-01-10 |
| 1538446844 | Robert Martin Kennuth | Specialist/Technologist | 329 Porter Ave, D'youville College, Buffalo, NY 14201 | 2011-11-15 |
| 1902115033 | James W Burcher | Registered Nurse | 430 Niagara, Buffalo, NY 14201 | 2010-10-07 |
| 1336468115 | Jane Leslie Burgio | Speech-Language Pathologist | 315 Carolina St, Buffalo, NY 14201 | 2010-05-19 |
| 1376787044 | Jessica Christina | Licensed Practical Nurse | 85 Johnson Park, Buffalo, NY 14201 | 2009-04-26 |
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| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133688 | Carol Hunt | Counselor | 76 Humboldt Pkwy, Buffalo, NY 14214-2605 | 2020-10-27 |
| 1386241511 | Kelly Jensen | Counselor | 255 Delaware Ave Ste 3000, Buffalo, NY 14202-2016 | 2020-10-01 |
| 1982223764 | Tanya Ayn Freedland | Counselor | 1309 Timber Ln, Buffalo, MN 55313-2033 | 2020-04-13 |
| 1235772294 | Kofi Brenya | Counselor | 1260 N Forest Rd Apt C5, Buffalo, NY 14221-3252 | 2019-10-22 |
| 1982268348 | Jessica R.w. Weaver | Counselor | 1285 Main St Fl 1, Buffalo, NY 14209-1961 | 2019-04-30 |
| 1487123451 | Healing Waters Outreach Ministries | Counselor | 1547 Genesee St, Buffalo, NY 14211-1632 | 2018-11-19 |
| 1750898292 | Molly Sanders Clauss | Counselor | 737 Delaware Ave Ste 216, Buffalo, NY 14209-2260 | 2018-01-05 |
| 1801238878 | Dawn Margaret Fischer | Counselor | 1107 Innsbrook Ln, Buffalo, MN 55313-1295 | 2013-07-19 |
| 1235433129 | Paul Bax | Counselor | 3020 Bailey Ave Fl 2, Buffalo, NY 14215-2814 | 2011-01-06 |
| 1295067288 | Tara Ann Pace | Counselor | 128 Wilson St, Buffalo, NY 14212-1215 | 2010-02-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.